Individual provider Active NPI

Genesis Gabriela Diaz-Espique

  • Nurse Practitioner
  • Stanton, CA
National Provider Identifier
1124998604
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95037542 Issued in CA
Practice address
10350 E Briar Oaks Dr Apt D
Stanton, CA 90680-4227
Phone
(562) 294-9233
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95037542 CA Primary
Registered Nurse 163W00000X 95205222 CA

Addresses

Primary practice location

10350 E Briar Oaks Dr Apt D
Stanton, CA 90680-4227

Mailing address

10350 E Briar Oaks Dr Apt D
Stanton, CA 90680-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226001887 CA Practitioner - Nurse Practitioner 5193211365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians
Apex Health ProvidersGroup PAC ID 0345769386, 5 clinicians

Practice addresses (Care Compare)

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 337-9393

535 E Main St
Unit 113
Tustin, CA 92780-4454
Phone (949) 466-6055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95205222CAMDRegistered Nurse
95037542CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Sleep Neurology Organization for Wellness CurrentSince Dec 1, 2025 Accepting new patients
Apex Health Providers CurrentSince Dec 1, 2025 Accepting new patients

Locations

535 E Main St
Unit 113
Tustin, CA 92780
Phone (949) 466-6055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1124998604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E BRIAR OAKS DR APT D",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 E BRIAR OAKS DR APT D",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804227",
            "telephone_number": "562-294-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ESPIQUE",
        "first_name": "GENESIS",
        "middle_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95037542",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95205222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

Verify at the official NPI Registry.